Jiménez-Jiménez F J, Zurdo J M, Hernanz A, Medina-Acebrón S, de Bustos F, Barcenilla B, Sayed Y, Ayuso-Peralta L
Department of Neurology Hospital Universitario Príncipe de Asturias, Universidad de Alcalá, Alcalá de Henares-Madrid, Spain.
Acta Neurol Scand. 2002 Dec;106(6):351-4. doi: 10.1034/j.1600-0404.2002.01370.x.
FUNDAMENTALS AND OBJECTIVE: Multiple sclerosis (MS) is the prototype of demyelinating disease, but recently, it has been shown that the existence of axonal lesions contribute to irreversible central nervous system damage in this disease. Tau proteins are considered to be important for maintaining the stability of axonal microtubules involved in the mediation of fast axonal transport of synaptic constituents. There have been reports of increased cerebrospinal fluid (CSF) tau concentrations in patients with MS, and it has been suggested that this could be a marker of axonal damage. The objective of the present study was to elucidate whether CSF tau levels could be a marker of MS activity.
We measured tau concentrations in the CSF of 20 patients with MS (nine in the first, seven in the second, one in the fourth exacerbation, and three patients with chronic progressive course) and 32 age- and sex-matched controls, using a specific enzyme-linked immunosorbent assay method.
The CSF tau concentrations of patients with MS did not differ from those of controls, and they were not correlated with age at onset and duration of the disease.
CSF tau concentrations are not a marker of MS activity.
基本原理与目的:多发性硬化症(MS)是脱髓鞘疾病的典型代表,但最近研究表明,轴突损伤的存在会导致该病患者出现不可逆的中枢神经系统损伤。tau蛋白被认为对于维持轴突微管的稳定性很重要,轴突微管参与突触成分快速轴突运输的介导过程。有报道称MS患者脑脊液(CSF)中tau浓度升高,有人认为这可能是轴突损伤的一个标志物。本研究的目的是阐明CSF tau水平是否可能是MS活动的一个标志物。
我们使用一种特定的酶联免疫吸附测定方法,测量了20例MS患者(9例处于首次发作期,7例处于第二次发作期,1例处于第四次发作期,3例为慢性进展型病程)以及32例年龄和性别匹配的对照者脑脊液中的tau浓度。
MS患者的脑脊液tau浓度与对照组无差异,且与发病年龄和病程无关。
脑脊液tau浓度不是MS活动的标志物。